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Excitatory Amino Acids - Clinical Results with Antagonists

Paul L. Herrling (Ed.)

 

Verlag Elsevier Trade Monographs, 1997

ISBN 9780080531342 , 156 Seiten

Format PDF

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200,00 EUR


 

Front Cover

1

Excitatory Amino Acids – Clinical Results with Antagonists

4

Copyright Page

5

Contents

6

Contributors

10

Preface

12

Acknowledgments

14

Chapter 1. Selfotel (CGS 19755)

16

1. Summary

16

2. Overview of the pharmacology

17

3. Rationale for clinical testing

19

4. Human results

19

5. Conclusions

21

Chapter 2. D-CPPene (SDZ EAA-494)—A Competitive NMDA Antagonist: Pharmacology and Results in Humans

22

1. Summary

22

2. Structure-activity relationships

23

3. General pharmacology

26

4. Human studies

32

5. Discussion

35

6. Conclusion

36

Chapter 3. Intrathecal Administration of a Competitive NMDA Receptor Antagonist for Pain Treatment

38

1. Summary

38

2. Overview of the pharmacology

38

3. Rationale for clinical testing

39

4. Human results

40

5. Discussion

41

Chapter 4. Clinical Experience with the NMDA Ion Channel Blocker, Aptiganel Hydrochloride (CERESTAT®)

46

1. Summary

46

2. Pharmacology

47

3. Clinical studies in normal male volunteers

49

4. Clinical studies in patients

49

5. Discussion

56

Chapter 5. Development of ACPC, A Partial Agonist of the Glycine Site on the NMDA Receptor

58

1. Introduction

58

2. Partial agonism as a therapeutic approach

58

3. ACPC – pharmacology and mechanism of action

59

4. Efficacy of ACPC in animal models of neuroprotection

59

5. Efficacy of ACPC in animal models of depression and anxiety

63

6. Prevention of opiate tolerance and toxicity by ACPC

64

7. Pharmacokinetics

65

8. Safety profiles of ACPC in animal models

67

9. PCP-like effects

68

10. Phase I clinical trials of ACPC

69

Chapter 6. Ifenprodil and Eliprodil: Neuroprotective NMDA Receptor Antagonists and Calcium Channel Blockers

72

1. Introduction

72

2. The NMDA receptor complex and its regulation

74

3. Actions of ifenprodil and eliprodil at different sites of the NMDA receptor

74

4. Other sites of action of ifenprodil and eliprodil

86

5. Neuroprotective effects

88

6. Behavioral pharmacology and side-effect profile

90

7. Pharmacokinetics

93

8. Clinical trials

94

9. Conclusions

94

Chapter 7. (3S,4aR,6R,8aR)-6-[2-(1(2)H-Tetrazole-5-yl)ethyl]decahydroisoquinoline-3-carboxylic Acid (LY293558) and its Racemate (LY215490): A Selective and Competitive AMPA/Kainate Receptor Antagonist

96

1. Summary

96

2. LY293558 as a novel neuroprotectant compound

96

3. In vitro glutamate receptor profile

97

4. In vivo AMPA receptor antagonism

98

5. Effects of LY293558 on CNS excitability

98

6. In vivo neuroprotection against AMPA-induced excitotoxicity

99

7. Neuroprotectant activity in animal models of cerebral ischemia

100

8. Overview and discussion

101

Chapter 8. The NBQX Story

104

1. Summary

104

2. Pharmacology

104

3. Human pharmacology

111

4. Discussion

112

Chapter 9. Riluzole in Amyotrophic Lateral Sclerosis

114

1. Summary

114

2. Introduction

114

3. Chemical structure

115

4. Neuroprotective properties

115

5. Mechanism(s) of action

116

6. Rationale of clinical testing

116

7. Clinical results

117

8. Conclusion

123

Chapter 10. Preclinical and Clinical Aspects of Remacemide Hydrochloride

124

1. Preclinical efficacy studies

124

2. Clinical studies

132

3. Conclusions

135

Glossary

136

Summary Table of Compounds and Their Clinical Status

140

References

144

Index

168